| NPI | 1184070492 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NEVILA MCDOUGAL VP Of Operations 773-321-2757 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility (Licence: IL NONE REQUIRED) |
| Enumeration Date | 2016-05-05 |
| Last Update Date | 2016-05-05 |